Deaths from myocardial infarction

A 51 year old Hispanic woman was readmitted for the fifth time, with nausea, vomiting, diffuse abdominal pain and diarrhea. During her initial presentation, she was diagnosed with Clostridium difficle colitis (C diff) and during the subsequent admissions, she remained positive for C diff and is currently on a vancomycin taper for treatment of recurrent C diff. Over the past several admissions, she was found to have bacteremia with organisms such as Saccharomyces cerevisiae, Eubacterium lentum,…

3. Explain the heart generates and conducts an electrical current. Page 388 The heart has its own built-in conduction system for generating action potentials spontaneously and coordinating contractions during the cardiac cycle. All the cardiac muscle fibers in each region of the heart are electrically linked together. The intercalated disks are connections that electrically join the muscle fibers of the heart into a single unit that can conduct electrical impulses through the entire wall of…

Introduction of Angiotensin-Converting Enzyme Inhibitors LeMone & Burke (2011) stated that in other to accurately discuss angiotensin converting enzyme inhibitors, it is very important to first of all briefly discuss about the three forms of angiotensin. Angiotensin I is produced by the action of renin on a protein called angiotensinogen, which is formed by the liver. Angiotensin I is then transformed into angiotensin II in the blood by the action of angiotensin-converting enzyme ACE.…

have any minor surgery or dental procedure. • Wash all fruits and vegetables before eating them. Make sure meat and eggs are well-cooked. Do not eat raw fish and shellfish. • Wash your hands often. You can also use hand sanitizer. Stay away from people who are sick. • Keep all your follow-up appointments. SEEK MEDICAL CARE IF: • You feel more tired than normal. • You think you might have an infection. • You have more bruising than usual. • You have trouble catching…

Milnirone Milrinone, a bipyridine derivative, is a phosphodiesterase III (PDE) inhibitor that prevents the breakdown of cAMP and cGMP. Clinically, milrinone has replaced amrinone, the prototype PDE inhibitor owing to its greater intropic potency, enhanced PDE III selectivity, shorter half life and favorable adverse effect profile. Mechanism of action: Milrinone's selective inhibition of PDE III leads to elevated levels of cAMP with cardiac and smooth muscle cells. Consequently, positive…

Takotsubo cardiomyopathy is also know as the broken heart disease. Broken heart disease symtoms is a mimic small heart attack. You'll start to feel chest pain and increase of breath. The main reason causing broken heart disease is the building of stress. The adrealine builds up causing the heart to contract rapidly and then make the heart stop causing a form like heart attack. What triggers broken disease can be a loss of a realative or friend. The emotions take a huge role that contract the…

A 36-year-old female presents to her physician with a 3-month history of joint pains. The pain is mostly in the joints of her wrists and hands up to the middle interphalangeal joints. The patient says that the pain is worse in the morning, but improves through the day as she uses her hands. On examination, the joints are red, swollen, and tender. Anticyclic citrullinated peptide antibodies are positive. The patient is started on low-dose methotrexate with good results. The patient is followed by…

during cardiac pulmonary resuscitation (CPR) in a patient with a systole who shows no flow phenomena (Nguyen, et al., 2013). ● Contrast-induced nephropathy (CIN) after PCI is defined as an increase of creatinine level of >0.5 mg/dl or 25% from baseline (Nguyen, et al.,…

Eating the right foods for your heart will lower your risk of heart disease, decrease your blood pressure and improve your cholesterol levels. Unfortunately, over 600,000 people die each year in the United States from heart disease. Eating right is a simple and effective way to keep your heart healthy. Try incorporating these heart healthy foods into your diet and lower your risk of heart disease. Salmon Salmon have a high amount of omega-3 fatty acids, which have been shown to lower the risk…

Our patient had orthostatic hypotension, likely due to fluid and electrolyte imbalance and not autonomic dysfunction due to its acute presentation. Although, autonomic dysfunction related orthostatic hypotension could be due to his diabetes, anemia, small Left Cerebellar Infarct, HTN, or diuretic, betablockers, antihypertensive medications. Fluid and electrolyte imbalance can cause anemia and hyponatremia, and can be caused by adrenal insufficiency, diuretics, beta blockers, antihypertensive…